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1.
目的 本研究调查新冠疫苗全面接种时期相关医务人员的职业倦怠状况,探讨个体因素以及社会支持对倦怠水平的影响。方法 在南京市12个行政区中随机抽取4个辖区的新冠疫苗集中接种点,将全部医务人员共428名作为研究对象进行问卷调查,问卷包括人口学特征、中文版职业倦怠量表和社会支持量表。结果 医务人员情感耗竭、人格解体、个人成就感降低维度得分分别为(17.99±7.89)、(7.20±3.52)和(12.07±5.30)分。多元线性回归分析结果显示,上司支持(β=-0.180, P< 0.05)、同事支持(β=-0.180, P< 0.05)为情感耗竭的保护因素,已婚、问诊岗位为情感耗竭的危险因素(β=0.161、β=0.095,P值均< 0.05),女性是人格解体的保护因素(β=-0.096,P< 0.05),亲友支持(β=-0.235, P< 0.05)是人格解体的保护因素,已婚是人格解体的危险因素(β=0.142,P< 0.05),同事支持(β=-0.168, P< 0.05)、亲友支持(β=-0.210, P< 0.05)、工龄(β=-0.154, P< 0.05)为个人成就感降低的保护因素,硕士学历是个人成就感降低的危险因素(β=0.126,P < 0.05)。结论 重视提高全方面社会支持,重点关注已婚、男性、硕士学历以及较短工龄医务人员的心理健康。 相似文献
2.
刘卫超 《世界睡眠医学杂志》2022,(1)
目的:观察压力支持通气模式(Pressure Support Ventilation,PSV)对重症监护患者睡眠质量的影响。方法:选取2017年1月至2017年8月德州市陵城区人民医院重症监护病房(ICU)收治的重症治疗患者60例作为研究对象,按照随机数字表法分为观察组和对照组,每组30例。对照组患者给予低剂量镇静加气管插管的方式进行干预,观察组患者给予压力支持通气模式进行干预,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者干预前后的睡眠质量改善情况,采用抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)比较2组患者干预前后的焦虑以及抑郁状态改善情况。结果:干预后,观察组PSQI评分显著低于对照组,观察组SAS评分、SDS评分显著低于对照组,2组比较差异均有统计学意义(P<0.05)。结论:对重症监护患者采用压力支持通气模式有利于改善患者的睡眠质量。 相似文献
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4.
《Radiography》2022,28(3):793-797
IntroductionChanging working practices, student numbers, workforce demands, and deficits, have created a need to consider new ways of radiography student training. One suggestion could be to implement Peer Assisted Learning (PAL) during clinical placements. PAL utilises social constructivist theories, where peer tutors teach lower or same level tutees, reinforcing and practicing material formally taught. The aim of this study was to trial an intervention of PAL, co-designed between the university and students and evaluated to identify opportunities and challenges.MethodsUsing participatory action research 8 final year student volunteers trialled a 3-week intervention, where they delivered PAL to first years, tutoring on first year radiographic clinical practice. Focus groups were held pre and post intervention to gather qualitative data.ResultsFocus group discussions were transcribed and collectively thematically analysed. Two students and the primary researcher took part in the analysis.ConclusionStudents identified benefits and challenges to PAL. Issue around preparing for and being a peer tutor are also discussed.Further study involving experiences of first year students and clinical colleagues is required.Implications for practicePeer-tutoring has potential benefits to students to facilitate the development of skills related to image analysis and critique as well as radiographic anatomy and patient positioning. 相似文献
5.
《Patient education and counseling》2022,105(7):2436-2442
ObjectivesHealthy individuals from hereditary cancer families undergoing genetic testing for cancer susceptibility (GTC) report more distress when they perceive their social support as low and suppress their emotions. This study aimed to explore how suppressing emotions and perceiving others as unsupportive are related with cancer-risk distress.MethodsWe performed a regression-based mediation analysis to assess if expressive suppression mediates or is mediated by perceived social support in the relation with cancer-risk distress. Participants were 125 healthy adults aged over 18 (M = 36.07, SD = 12.86), mostly female (72,4%), who undergone GTC to assess the presence of hereditary breast and ovarian cancer or Lynch syndromes.ResultsControlling for age and gender, we found a moderate size indirect effect of social support on cancer-risk distress through expressive suppression (β = ?0.095) and a direct effect of expressive suppression on cancer-risk distress.ConclusionsWhen healthy individuals from hereditary cancer families perceive their social network as less responsive, they tend to not express their emotions, which relates to increased distress facing GTC.Practice implicationsPractitioners may assess cancer-risk related distress before the GTC and offer distressed individuals interventions focused on changing emotion regulation strategies in a safe group context. 相似文献
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目的:探讨家庭社会经济地位与青少年主观幸福感的关系及领悟社会支持和积极心理资本的中介作用。方法:采用家庭社会经济地位问卷、幸福感指数量表、领悟社会支持量表和积极心理资本问卷调查了932名青少年。结果:(1)家庭社会经济地位、领悟社会支持、积极心理资本和主观幸福感两两之间相关显著;(2)家庭社会经济地位对主观幸福感的直接效应不显著,但领悟社会支持、积极心理资本在家庭社会经济地位与主观幸福感之间的三条中介路径均显著。结论:为提升低家庭社会经济地位青少年主观幸福感,改善其领悟社会支持和积极心理资本水平是可实现的有效路径。 相似文献
8.
目的 调查老年慢性心力衰竭患者灵性需求现状并分析其影响因素,为制订针对性的灵性照护干预措施提供参考。方法 采用便利抽样法于2021年3—7月抽取天津市7家三级甲等医院共321例老年慢性心力衰竭患者作为调查对象,使用一般资料调查表、中文版灵性需求量表、领悟社会支持量表及自我超越量表进行问卷调查。结果 321例老年慢性心力衰竭患者灵性需求总分为(40.51±15.89)分,条目均分为(1.50±0.56)分。6个维度中,条目均分最的是“积极给予”(1.97±0.75)分,最低的是“信仰-资源”(0.78±0.39)分;灵性需求与社会支持(r=0.687,P<0.01)及自我超越(r=0.701,P<0.01)均呈正相关;多元线性回归分析显示宗教信仰、文化程度、心力衰竭病程、社会支持及自我超越进入回归方程(F=59.681,P<0.01),可解释总变异的57.4%。结论 321例老年慢性心力衰竭患者灵性需求处于中等水平,宗教信仰、文化程度、心力衰竭病程、社会支持及自我超越是影响老年慢性心力衰竭患者灵性需求的主要因素。医护人员应根据老年慢性心力衰竭患者个体化特征和差异采取针对性的灵性照护措施,可通过提升患者的社会支持和自我超越水平,来最大程度地满足其灵性需求。 相似文献
9.
《Health & place》2022
PurposeAccording to the social determinants of health framework, income inequality is a potential risk factor for adverse mental health. However, few studies have explored the mechanisms suspected to mediate this relationship. The current study addresses this gap through a mediation analysis to determine if social support and community engagement act as mediators linking neighbourhood income inequality to maternal anxiety and depressive symptoms within a cohort of new mothers living in the City of Calgary, Canada.MethodsData collected at three years postpartum from mothers belonging to the All Our Families (AOF) cohort were used in the current study. Maternal data were collected between 2012 and 2015 and linked to neighbourhood socioeconomic data from the 2006 Canadian Census. Income inequality was measured using Gini coefficients derived from 2006 after-tax census data. Generalized structural equation models were used to quantify the associations between income inequality and mental health symptoms, and to assess the potential direct and indirect mediating effects of maternal social support and community engagement.ResultsIncome inequality was not significantly associated with higher depressive symptoms (β = 0.32, 95%CI = −0.067, 0.70), anxiety symptoms (β = 0.11, 95%CI = −0.39, 0.60), or lower social support. Income inequality was not associated with community engagement. For the depression models, higher social support was significantly associated with lower depressive symptoms (β = −0.13, 95%CI = −0.15, −0.097), while community engagement was not significantly associated with depressive symptoms (β = 0.059, 95%CI = −0.15, 0.27). Similarly, for the anxiety models, lower anxiety symptoms were significantly associated with higher levels of social support (β = −0.17, 95%CI = −0.20, −0.13) but not with higher levels of community engagement (β = 0.14, 95%CI = −0.14, 0.41).ConclusionThe current study did not find clear evidence for social support or community engagement mediating the relationship between neighbourhood income inequality and maternal mental health. Future investigations should employ a broader longitudinal approach to capture changes in income inequality, potential mediators, and mental health symptomatology over time. 相似文献
10.